Jacob Randall Ewigman, PT, DPT | |
7925 State Ave, Kansas City, KS 66112-2465 | |
(913) 334-9930 | |
(913) 334-9941 |
Full Name | Jacob Randall Ewigman |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 7925 State Ave, Kansas City, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710447198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11-05960 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Serc Rehabilitation Partners Llc | 9830344563 | 200 |
Provider Name | Serc Rehabilitation Partners Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130517000516 |
Mailing Address | Practice Location Address |
---|---|
Jacob Randall Ewigman, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Jacob Randall Ewigman, PT, DPT 7925 State Ave, Kansas City, KS 66112-2465 Ph: (913) 334-9930 |
Mr. Daniel S Knox, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8909 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-5131 | |
Julianne Marie Perrini, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1801 N 98th St, Kansas City, KS 66111 Phone: 913-264-3000 Fax: 913-264-9940 | |
Morgan Wilson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Cambridge St, Kansas City, KS 66160 Phone: 913-588-1227 Fax: 913-588-8186 | |
Angela Gargaro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8900 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-788-2100 | |
Mrs. Janelle Leigh Lemons, OT/ CHT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2000 Olathe, Kansas City, KS 66160 Phone: 913-588-3128 Fax: 913-588-2277 | |
Mr. Terry J Jett, PT, MBA, FACHE, FABC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8929 Parallel Pkwy, Kansas City, KS 66112 Phone: 913-596-4756 | |
Brandon Kotschwar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2733 N 65th Ter, Kansas City, KS 66104 Phone: 308-340-6657 |